Request 1:1 Coaching Services

Request Personal Coaching
or a Free Consultation

This form is the first step in receiving individual coaching sessions with Red Maple or requesting a 30 minute consultation to discuss the benefits of coaching. It must be filled out and submitted by the prospective client looking for coaching services. Your information is completely secure, and will not be shared with anyone outside of our administrative team.

The pandemic has us very full, so it may take us up to 3 business days to get back to you.

Thank you for your patience.

We do not provide crisis services.

First Name

Last Name

Email Address

Phone (note that this is your consent to leave a message):

What type of coaching are you looking for? You can choose multiple options.

LIfe Coaching (Growth, Transitions, Wellness)

Coaching for Performance at Work

Coaching For Leadership/Managment

A Free 30 Minute Consultation To Learn More About Coaching

I'm not sure yet

A good "fit" with your coach is an important part of the experience. We'd like to get it right, so please help us by providing a bit more information.

Please tell us a little about what you'd like to get out of coaching:

Will you be using benefits coverage to pay for your services? If so, please let us know what credentials you are covered for (BSW, MSW, RSW, RP, etc.)

Please let us know if you would prefer virtual or in-office sessions. Please note that our ability to accommodate in-office sessions may be impacted at this time due to COVID safety measures.

Please tell us anything else you think will help us know how to pair you with the right person:

Thanks for submitting your request!

We look forward to connecting with you.

Red Maple

Request 1:1 Coaching Services

Request Personal Coaching or a Free Consultation

Red
Maple

Request Personal Coaching
or a Free Consultation